Shawn Lauritz Miller SR., OWNER
NPI #1992253009 in Simi Valley, California
Provider Information
- NPI Number
- 1992253009
- Entity Type
- Individual
- Name
- Shawn Lauritz Miller SR., OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- OWNER
- Enumeration Date
- Sep 18, 2016
- Last Updated
- Sep 18, 2016
Practice Location
- Address
- 3069 CISCO CT
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-1809
- Phone
- (805) 624-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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